The treatment of a choroidal inflammation depends on the cause. Therefore, a quick and comprehensive diagnosis is very important for the correct therapy decision. In very severe cases where there is no healing, surgical therapy can prevent complications from occurring.
- If a bacterial infection is the cause of the choroiditis, treatment is primarily by means of antibiotics. The choice of antibiotics depends on the causative pathogen. – The same applies to a viral infection, for which appropriate antivirals must be given.
- If there is no infection and the inflammation occurs in the context of rheumatic or other diseases, the administration of cortisone is usually indicated. Depending on the severity of the disease, cortisone can be administered locally in the form of drops or directly into the bloodstream. The cortisone has an anti-inflammatory effect. – If there is an increased intraocular pressure, additional pressure-reducing agents must be given.
The duration of a choroidal inflammation depends on the cause. – With rapid diagnosis and well-responsive therapy, it usually heals completely within a week. – In chronic rheumatic inflammation or immunocompromised patients, however, healing may take longer and lead to further complications. In addition, it can lead to multiple recurrences or to a chronicity of the inflammation.